Modification of end-loop ileostomy for the treatment of ischemic or radiation enteritis.

World Journal of Gastroenterology : WJG
Konstantinos TepetesKonstantinos Hatzitheofilou

Abstract

To evaluate a new technique of temporary ileal anastomotic stoma, following small bowel resection, in patients where the anastomosis is anticipated to have borderline margins with dubious viability. Five patients underwent enterectomy and partially anastomosed end-loop ileostomy at the University Hospital of Larissa between 2000 and 2006. Enterectomy was performed because of conditions such as mesenteric vascular occlusive disease, radiation entritis and small bowel injury. Postoperatively, none of the patients developed any stoma-related or anastomotic complications. There were no major complications. All patients were discharged between the 8th and 15th day after the procedure, and the stoma was closed 3 wk to 4 wk later. We believe that our proposed modification of end-loop ileostomy is a simple, quick and safe technique with minimal stoma-related morbidity, and with simple and safe reversion. This technique can be considered as a useful option in the treatment of ischemic or radiation-induced enteritis, and in the management of severe intestinal trauma.

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Citations

Apr 24, 2010·Annals of the Royal College of Surgeons of England·Reza Arsalani-ZadehJohn Macfie
May 13, 2021·Advances in Skin & Wound Care·Pelin Basim, Derya Argun

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